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DR. TYSEN L WEBER MD
NPI 1730673419
Pediatrics in Lewiston, ID

Active since June 18, 2018PECOS Enrolled
2315 8TH ST, LEWISTON, ID 83501(208) 746-1383(208) 746-6348 Get Directions Write a Review

NPPES record last updated: April 15, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2021, Jun 18, 2018 (2 updates tracked since 2018).

About Dr. Tysen L Weber Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. TYSEN L WEBER MD (NPI 1730673419) is an individual pediatrics provider in Lewiston, Idaho, licensed in Idaho (M-15702) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730673419
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. TYSEN L WEBERCredential: MD
Location Address2315 8TH STLewiston, ID 83501-7301
Mailing Address2216 Vineyard AveLewiston, ID 83501-6352 · (208) 289-0425 · Fax (208) 568-9850
Phone(208) 746-1383
Fax(208) 746-6348
Sole ProprietorNo
Enumeration DateJune 18, 2018
Last NPPES UpdateApril 15, 20252 updates tracked since enumeration
NPPES CertifiedApril 15, 2025
✔ NPI 1730673419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in ID · M-15702✔ Licensed in WA · MD61156866
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
2315 8TH ST, Lewiston, ID 83501
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Other Identifiers 2

Medicaid1730673419WA
Medicaid1730673419ID

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Tysen L Weber Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83501 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NATALE CARASALI MD
Pediatrics
2315 8TH ST
LEWISTON, ID 83501
Nez Perce County (208) 746-1383
GREGORY P SCHULTZ MD
Pediatrics
2315 8TH ST
LEWISTON, ID 83501
Nez Perce County (208) 746-1383
SEAN T URQUHART MD
Hospitalist
2315 8TH ST
LEWISTON, ID 83501
Nez Perce County (208) 746-1383
DR. CHRISTINE C SCHALLER MD
Family Medicine
2315 8TH ST
LEWISTON, ID 83501
Nez Perce County (208) 983-5120
CHASTAINS INCORPORATED
Pharmacist
2315 8TH ST
LEWISTON, ID 83501
Nez Perce County (208) 750-1444
EVA LOUISE MICHELS FNP-C
Nurse Practitioner (Family)
2315 8TH ST
LEWISTON, ID 83501
Nez Perce County (082) 746-1383
DR. DARBY S LYNCH MD
Pediatrics
2315 8TH ST
LEWISTON, ID 83501
Nez Perce County (208) 746-1383
AMY DAWNETTE JOHNSON RN
Nurse Practitioner (Family)
2315 8TH ST
LEWISTON, ID 83501
Nez Perce County (208) 799-5370

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tysen Weber's NPI number?

The NPI number for Tysen Weber is 1730673419. It was assigned to this individual provider in the NPPES registry on June 18, 2018.

Where is Tysen Weber located?

Tysen Weber practices at 2315 8th St, Lewiston, ID 83501. The listed phone number is (208) 746-1383.

What is Tysen Weber's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Tysen Weber enrolled in Medicare?

Yes. Tysen Weber is registered in the Medicare PECOS enrollment system.

What insurance does Tysen Weber accept?

Health plans from Providence Health Plan list Tysen Weber as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tysen Weber was last updated on April 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.